| NPI | 1699087395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA MD-50934) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 14864) |
| 207R00000X Internal Medicine (Licence: PA MD472108) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD472108) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA MD472108) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2023-07-26 |